# PCA OF COLUMBIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PCA of Columbia Inc dba PCA Southeast, Opus Pathology, PCA Southeast
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497791420
- **Authorized official:** DANIELLE GIBSON MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (931) 490-1000

## Contact information

- **Practice address:** 1602 HATCHER LANE, COLUMBIA, TN 38401
- **Practice address phone:** (931) 490-1000
- **Practice address fax:** (931) 388-1548
- **Mailing address:** 1602 HATCHER LN, COLUMBIA, TN 38401-4827
- **Mailing address phone:** (931) 490-1000
- **Mailing address fax:** (931) 388-1548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | 2030 | TN | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | 2030 | TN | — |
| 207ZI0100X | Immunopathology Physician | 2030 | TN | — |
| 207ZP0101X | Anatomic Pathology Physician | 2030 | TN | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 2030 | TN | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | 200241 | KY | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/24/2026